ENW
NAME: ……………………………………….


RHIF AELODAETH
MEMBERSHIP N^o: ……………………

CYFEIRIAD
ADDRESS:………………………………………………………….

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Carwn fenthyg y llyfr/au canlynol (dim mwy na dau ar y tro)
I wish to borrow the following book/s (not more than two at any one time)

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Addunedaf i ddychwelyd y llyfrau mewn cyflwr da o fewn mis neu i dalu am unrhyw golled neu niwed

I undertake to return them in good condition within four weeks or to make good any loss or damage.

Llofnod
Signature: ……………………………….

Dyddiad
Date: ……………………..................…..